Ingaba unethambo elaphukileyo emlenzeni wakho ongezantsi? (I-Tibia kunye ne-Fibula Fracture) Masithethe ngale nto!

Hayi bo! Kuthekani ukuba ubethe umlenze wakho ndaweni ithile, okanye wenze ingozi, waphuka ithambo emlenzeni ongezantsi? Kunzima ukuyicinga loo nto, akunjalo? Xa kwenzeka ukwenzakala okunje, uninzi lwexesha, i-tibia kunye nelinye ithambo elisecaleni linokwaphuka. Namhlanje, siza kuthetha ngezi zifo ze-tibia kunye ne-fibula . Ekubeni oku kukwenzakala okukhulu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza.

Yintoni iTibia kunye neFibula Fracture?

Ngamafutshane, kukho amathambo amabini aphambili emlenzeni wakho, ngaphantsi kwedolo nangaphezulu kweqakala. Elinye yi -tibia , ekwaziwa ngokuba yithambo le-shin. Elinye yi -fibula encinci kancinci , ekwaziwa ngokuba yithambo lethole. Xa elinye okanye omabini la mathambo ephukile, siwabiza ngokuba yi-tibia kunye ne-fibula fracture.

Amaxesha amaninzi, la mathambo ayaphuka emva kwengozi enkulu, njengengozi yemoto okanye ukuwa ukusuka kwindawo ephakamileyo. Ngenxa yokuba la mathambo mabini esondelelene, kunokwenzeka ukuba omabini aphuke kwingozi enye. Nangona kunjalo, kunokwenzeka ukuba elinye liphuke, nto leyo engaqhelekanga. Le yingozi enkulu kwaye kufuneka ufune unyango ngokukhawuleza. Ungadinga utyando lokulungisa ithambo, uze emva koko ufumane unyango lomzimba ukukunceda ukuba uphinde usebenzise umlenze wakho ngendlela eqhelekileyo. Kodwa ngokuhamba kwexesha, i-tibia kunye ne-fibula yakho kufuneka ziphiliswe ngokupheleleyo.

Iintlobo ze-tibia kunye ne-fibula fractures

Ngoku khangela, oogqirha bahlulahlula la mathambo ngokwendlela aqhekeka ngayo. Oko kukuthi, ngokujonga izinto ezifana nokuma kweqhekeza, ipateni yeqhekeza, njl.

Iindidi ngokwemilo yomgca oqhekekileyo:

• Ukuqhekeka okujijekileyo: Ukuqhekeka kwethambo ngokuthe tye, okujijekileyo.
• Ukuqhekeka kwe-Oblique: Ukuqhekeka kwethambo.
• Ukuqhekeka kwe-Spiral: Ukuqhekeka apho ithambo lijijeke khona, kwi-spiral. Oku kwenzeka ngokungathi umlenze ujijeke ngequbuliso.
• Ukuqhekeka kwecandelo: Ithambo liqhekeke kwiindawo ezimbini, kunye neqhekeza eliphakathi lahlulwe.
• Ukuqhekeka okuqhekekileyo: Ukuqhekeka apho ithambo liqhekeka libe ziingceba ezincinci, ngokungathi lityumkile.

Iindidi ngokwendlela ithambo elaphulwe ngayo:

• Ukuqhekeka okudibeneyo okanye ukwaphuka okuvulekileyo: Oku kuyingozi ngakumbi kuba ithambo liyaphuka kwaye liqhekeke eluswini, nto leyo eshiya indawo engakumbi yosulelo.
• Ukuqhekeka koxinzelelo: Oku akwenzeki ngengozi enye enkulu. Kubangelwa kukufakwa koxinzelelo oluqhubekayo kwithambo, oluthi ngokuhamba kwexesha lubangele ukuqhekeka okuncinci kwithambo. Oku kunokwenzeka nakubagijimi.
• Ukuqhekeka kwe-Avulsion:Xa umsipha okanye i-tendon enamathele kwithambo itsalwa ngequbuliso, iqhekeza elincinci lethambo liyaqhekeka.

Ezinye iintlobo ezithile:

• I-Tibia plateau iyaphuka: Kule meko, i-tibia iyaphuka kufutshane nedolo, nto leyo enokonakalisa idolo.
• Ukuqhekeka kwamathambo aphukileyo (i-tibia ephukileyo kunye nokuqhekeka kwamathambo aphukileyo): Xa ithambo liqhekeka, iziqwenga ezibini eziphukileyo ziyahlukana, nto leyo eyenza umsantsa omkhulu phakathi kwazo. Oku kuthetha ukuba iziqwenga zamathambo azilungelelananga.
• Ukuqhekeka kwe-tibia kunye ne-fibula okungasuswanga kwindawo yazo: Apha ithambo lisaphukile, kodwa iziqwenga eziphukileyo azikashukumi kakhulu, kwaye akukho tshintsho lubalulekileyo ekulungelelanisweni.
• Ukuqhekeka okukude: 'Distal' ibhekisa kwisiphelo sethambo esikude kakhulu embindini womzimba wethu (umzimba). 'Ukuqhekeka kwe-distal tibia' kukuqhekeka kwe-tibia ukuya eqakaleni, oko kuthetha ukuba ikufutshane nesiphelo esisezantsi somlenze.
• Ukuqhekeka kwe-proximal: 'I-Proximal' ibhekisa kwisiphelo sethambo elikufutshane nenxalenye ephakathi yomzimba (isiqu). 'Ukuqhekeka kwe-proximal fibula' kukuqhekeka kwindawo apho ithambo le-fibula liqhagamshela khona ne-kneecap, oko kukuthi, kufutshane nephezulu.

Zithini iimpawu zale ngxaki yokuqhekeka?

Kulungile, ngoku masibone ukuba zeziphi iimpawu ezenzekayo ngolu hlobo lokuqhekeka.

• Intlungu ebuhlungu: Le yeyona nto iphambili. Intlungu inokuba nzima kangangokuba awukwazi nokushukumisa umlenze wakho.
• Ukudumba (ukudumba): Indawo eyonzakeleyo idumba kakhulu.
• Ukuthamba: Kubuhlungu kakhulu xa kuchukunyiswa okanye kucinezelwa.
• Ukungakwazi ukuhambisa umlenze ngendlela eqhelekileyo: Usenokungakwazi ukuma, ukuhamba, okanye nokushukumisa umlenze wakho.
• Ukugruzuka okanye ukutshintsha kombala wolusu: Ulusu kwindawo eyonzakeleyo lunokuba luhlaza okwesibhakabhaka okanye mfusa.
• Ukukhubazeka okanye ukubonakala okufana neqhubu: Ngamanye amaxesha umlenze unokwelulwa ngendlela engaqhelekanga, okanye ithambo lisenokubonakala ngathi liphuma njengeqhubu apho laphukile khona.

Yintoni ebangela la maqhekeza?

Zithini izizathu eziphambili zale miqhekezo?

Ixesha elininzi, ezi zenzeka emva kwengozi enkulu (iTrauma) . Oko kuthetha ukuba:

• Iingozi zezithuthi: Izinto ezifana neengozi zeemoto neebhayisekile.
• Ukuwa: Ukuwa usuka kwindawo ephakamileyo, njengokutyibilika nokuwa.
• Ukulimala kwezemidlalo: Kunokwenzeka kweminye imidlalo, ingakumbi imidlalo yokudibana.

Enye into kukuba, ukuba amathambo akho abuthathaka, umzekelo, ukuba unesifo esifana ne -osteoporosis , ungaphuka ithambo ngokulula nokuba uwile kancinci. I-Osteoporosis sisifo esibangela ukuba amathambo abe mancinci kwaye abe buthathaka. Abantu abaninzi abazi ukuba banale meko de baphuke ithambo.

Ungayixilonga njani i-bone fractures?

Xa wenzakele ngolu hlobo, ugqirha angaqinisekisa njani ukuba kukwaphuka kwethambo?

Okokuqala, ugqirha uza kwenza uvavanyo lomzimba, ajonge ukuba iintlungu, ukudumba, kunye nokuba ungakwazi na ukuhambisa umlenze wakho.

Emva koko, iimvavanyo zomfanekiso ngokuqinisekileyo ziya kwenziwa.

Ukuba ungeniswe kwigumbi likaxakeka (ER) lesibhedlele emva kwengozi, iqela lezonyango apho liza kuqala lihlole ukwenzakala kwakho okusongela ubomi kwaye liza kubeka phambili unyango lwakho. Kuphela emva kokuba imeko yakho izinzile apho baya kwenza uvavanyo ukuqinisekisa ukwaphuka.

Zeziphi iimvavanyo ezenziwayo koku?

Ukuze wazi ngokuqinisekileyo ukuba uneqhenqa, kunokufuneka wenze olunye okanye ngaphezulu kwezi vavanyo:

• Ii-X-reyi: Olu lolona vavanyo luqhelekileyo. I-X-reyi ingabonisa ngokucacileyo ukuba ngawaphi amathambo aphukileyo emlenzeni wakho ongezantsi, ukuba aphukile kangakanani, kunye nokuba kukho na amaqhekeza ethambo asusiweyo.
• I-MRI scan (Magnetic Resonance Imaging): Oku akwenziwa rhoqo. Kodwa ngamanye amaxesha, ukuba ufuna ukuvavanya ngokupheleleyo umonakalo emathanjeni nakwimisipha ejikelezileyo, ugqirha wakho unokuyalela i-MRI.
• I-CT scan (i-Computed Tomography): I-CT scan inokuvelisa umfanekiso ocacileyo noneenkcukacha ngakumbi ngamathambo kunye nezicwili ezingqongileyo kune-X-ray. Oku kuluncedo kakhulu koogqirha ngaphambi kokuba benze utyando.

Unyango lokuqhekeka kwe-tibia/fibula

Kulungile, ngoku makhe sibone indlela yokunyanga le tibia/fibula fracture.

Unyango luxhomekeke kuhlobo lokwaphuka kwethambo, unobangela, kunye nobungakanani bomonakalo kwithambo. Kukho iindlela ezahlukeneyo zonyango:

• Ukungashukumi: Ukuba ukwaphuka akukubi kakhulu, oko kuthetha ukuba iziqwenga zamathambo azikude kakhulu (azikho kwindawo yazo), kunokufuneka ubeke i-splint okanye i-cast emlenzeni wakho ukuze ungashukumi. Emva kokuba zombini zifakwe, kuya kufuneka uphinde wenze i-X-ray ukuqinisekisa ukuba amathambo alungelelene kakuhle.
• Ukunciphisa okuvaliweyo: Ukuba ithambo laphukile kakhulu kwaye iziqwenga azikho endaweni yazo, le yinkqubo ebandakanya ukutsala nokutyhala iziqwenga zamathambo aphukileyo zibuyele endaweni yazo ngaphandle kotyando. Emva koko kufakwa isamente.
• Ukufakelwa kwangaphakathi: Le yinkqubo yotyando. Ugqirha ubuyisela iziqwenga zamathambo aphukileyo endaweni yazo aze azilungise. Oku kubandakanya ukusebenzisa iipleyiti, izikrufu, okanye iintonga . Emva koko amathambo ayadibana aze aphole.
• Ukulungiswa kwangaphandle:Apha, ugqirha wotyando ufaka izikrufu kwithambo elaphukileyo kumacala omabini aze aziqinise kwisakhelo sangaphandle (i-brace okanye i-bracket). Oku kudla ngokwenziwa xa ithambo liqhekekile laba ziingceba ezininzi okanye kukho umonakalo omkhulu kulusu.
• Unyango lomzimba: Emva kotyando, okanye emva kokuba isamente isusiwe, kuya kufuneka usebenze nogqirha wezonyango ukuze ufumane amandla, ukuguquguquka, kunye nokuhambahamba kuloo mlenze.

Iingxaki ezinokwenzeka ngexesha lonyango

Xa kunyangwa ukwaphuka kwethambo, ingakumbi ukuba kubandakanya utyando, kukho iingxaki ezithile ezinokubakho. Masiqaphele loo nto.

• I-Acute Comppartment Syndrome (ACS): Uxinzelelo ngaphakathi kwemisipha yemilenze luyanda, nto leyo ethintela ukuhamba kwegazi. Oku kunokubangela umonakalo ongunaphakade kwimisipha kunye nemithambo-luvo. Le yimeko engxamisekileyo.
• I-Malunion: Xa amathambo aphukileyo ephola, asenokungahambelani kakuhle, nto leyo ebangela ukuba umlenze ube mfutshane okanye ugobe.
• Ukungadibani: Ngamanye amaxesha iziqwenga zamathambo zisenokungadibani ngokupheleleyo, okanye ukudibana kwazo kunokulibaziseka kakhulu.
• I-Osteomyelitis: Ukuba uneqhekeza elivulekileyo, oko kukuthi apho ithambo liqhekeke khona eluswini, usemngciphekweni omkhulu wokufumana usulelo lwebhaktheriya.
• Ezinye iingozi zangaphakathi: Ukuqhekeka kungonakalisa nezihlunu, imithambo-luvo, imithambo yegazi, imisipha, kunye nemisipha ejikeleze indawo eyonzakeleyo.

Yintoni onokuyilindela ngexesha lokuchacha kunye nexesha eliza kuthatha ukuchacha

Emva konyango, iimpawu zakho zingaphucuka kancinci kancinci kwiiveki ezimbalwa. Ngokuxhomekeke kuhlobo lotyando olwenzileyo nokuba amathambo amabini emlenzeni wakho aphukile na, unokukwazi ukuhambisa umlenze wakho uhambe kwakhona kwiiveki ezimbalwa. Ukuba intlungu ayipheli okanye ihlala iqhubeka, bona ugqirha wakho ngoko nangoko. Uninzi lwabantu luyaphola ngokupheleleyo kolu hlobo lokwaphuka.

Kuthatha ixesha elingakanani ukuba olu qhekeko luphiliswe?

Kuxhomekeke kubukhulu bokwaphuka kwakho kunye nonyango olufumeneyo. Ngokuqhelekileyo kuthatha iinyanga ezine ukuya kwezintandathu ukuba ukwaphuka kwe-tibia okanye i-fibula kuphole ngokupheleleyo.

Nangona kunjalo, zininzi ezinye izinto ezinokuchaphazela indlela umzimba wakho ophola ngayo ngokukhawuleza, ngoko ke kungcono ukubuza ugqirha wakho okanye ugqirha wakho malunga nexesha lokuchacha elifanelekileyo kwimeko yakho.

Ungayinciphisa njani ingozi yokuqhekeka kwamathambo?

Kukho izinto ezininzi esinokuzenza ukunciphisa umngcipheko weengozi ezinjalo:

• Soloko unxibe ibhanti xa ukhwela imoto.
• Xa udlala nawuphi na umdlalo okanye usenza nawuphi na umsebenziNxiba izixhobo zokuzikhusela ezifanelekileyo.
• Kuphephe ukubeka izinto ekhayeni lakho okanye kwindawo osebenza kuyo ezinokubangela ukuba utyibilike uze uwe. Gcina indawo ohlala kuyo icocekile.
• Xa uthatha into endlwini , sebenzisa izixhobo ezifanelekileyo. Ungaze ukhwele ezitulweni okanye etafileni ukuze uyokuthatha izinto.
• Ukuba uneminyaka engaphezu kwama-50 ubudala, okanye ukuba kukho umntu kusapho lwakho onesifo sokudumba kwamathambo, thetha nogqirha wakho malunga nokufumana uvavanyo lokuqina kwamathambo .
• Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa induku okanye i-walker.

Ufanele uye nini kwigumbi likaxakeka?

Ukuba ucinga ukuba unethambo elaphukileyo emlenzeni wakho ongezantsi, okanye naliphi na elinye ithambo, kufuneka ubone ugqirha ngokukhawuleza. Ukuba unezinye zeempawu ezilandelayo, yiya kwigumbi longxamiseko ngokukhawuleza:

• Intlungu ebuhlungu.
• Ukungakwazi ukuhambisa umlenze ngendlela eqhelekileyo.
• Ukuba umlenze ubonakala ungaqhelekanga, okanye ukuba ubonakala ngathi utsibe endaweni yawo.
• Ukuba ulusu luhlatyiwe kwaye ithambo liyabonakala.
• Ukudumba.
• Ezi mpawu zihamba kunye nokuvela kwemivumbo emitsha.

Ukuba ukhe waba nengozi enkulu (ukwenzakala), ngokuqinisekileyo yiya kwigumbi longxamiseko ngoko nangoko.

Imibuzo yokubuza ugqirha

Xa ubona ugqirha wakho, kunokuba luncedo ukubuza imibuzo efana nale:

• Leliphi ithambo elaphukileyo?
• Luhlobo luni lokwaphuka endinalo?
• Ngaba kufuneka ndityandwe?
• Kuza kuthatha ixesha elingakanani ukuphiliswa?
• Ndingaqala nini ukusebenza nokudlala imidlalo ngokuqhelekileyo kwakhona?

Ngaba ungahamba phezu kwethambo le-tibia okanye i-fibula elaphukileyo?

Xa ithambo elisemlenzeni ongezantsi laphukile, ukuba ungakwazi ukuhamba okanye ukuhambisa umlenze wakho kuxhomekeke ekubeni leliphi ithambo elaphukileyo, loluphi uhlobo lokwaphuka, kunye nendlela eyenzeke ngayo ingozi.

I-fibula yakho, ithambo elincinci elisecaleni kwethambo lakho lesifuba, ayilothambo elithwala ubunzima ngokwenene. Yiyo loo nto abanye abantu benokuhamba ne-fibula ephukileyo. Nangona kunjalo, musa ukuyityeshela intlungu yomlenze okanye ezinye iimpawu. Nokuba ungahamba, kufuneka ubone ugqirha okanye uye kwigumbi likaxakeka ngoko nangoko ukuze uhlolwe ukwenzakala.

Nangona kunjalo, ukuba i-tibia yakho yaphukile, kusenokwenzeka ukuba awukwazi ukuma, ukuhamba, okanye ukubeka ubunzima emlenzeni wakho. Oku kungenxa yokuba i-tibia yeyona thambo liphambili elithwala ubunzima emzimbeni. Ngoko ke, musa ukuyityeshela intlungu okanye ungayihoyi iimpawu.

Ukuba ukhe waba nengozi kwaye uhlangabezana nezi mpawu, yiya kwigumbi likaxakeka ngokukhawuleza.

Okokugqibela, izinto ekufuneka uzikhumbule

I-tibia ephukileyo (ithambo le-shin) okanye i-fibula (ithambo le-shin kwelinye icala) idla ngokuvela kwingozi, efana nokuwa. Inokuba ngumothuko wokwenene, ingakumbi xa ungakwazi ukuma, ukuhamba, okanye ukusebenzisa umlenze wakho ngokwesiqhelo. Usenokufuna utyando, kulandele unyango lomzimba, kunye nexesha lokuphiliswa. Kodwa qiniseka, uninzi lwabantu luyaphola ngokupheleleyo kwithambo ephukileyo. Eyona nto ibalulekileyo kukufuna unyango ngoko nangoko ukuba wenze ingozi kwaye ulandele imiyalelo kagqirha kanye njengoko becebisa.

Ukuphuka kweTibia , Ukuphuka kweFibula, Ukuphuka kwemilenze, Iintlobo zokuphuka, Unyango lokuphuka, Utyando lwamathambo, Unyango lomzimba